Individual
OMAR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(909) 329-4233
Mailing address
9147 PALMETTO AVE, FONTANA, CA 92335-4937
(909) 329-4233
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
737327
CA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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